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  • Harm Reduction Decade

    Harm Reduction Decade

    Read our latest report calling for a Harm Reduction Decade, sign the Harm Reduction Decade Declaration, call for #10by20, and stand up for human rights of people who use drugs, their families and communities.

  • 10 by 20

    10by20 Campaign

    Everything that you want to know about #10by20 campaign

    10 by 20 Pie Chart

    Harm Reduction Decade

    Read our latest report calling for a Harm Reduction Decade, sign the Harm Reduction Decade Declaration, call for #10by20, and stand up for human rights of people who use drugs, their families and communities.

    10by20 launch

    At the recent opening of the Commission on Narcotic Drugs in Vienna, Harm Reduction International launched its 10 by 20 campaign.

    HRI calls for 10 by 20 at UN high-level debate on drugs

    HRI is calling for 10 per cent by 2020 at this week’s high-level debate on drug policy in New York

    Support. Don’t Punish Global Day of Action.

    HRI calls on Members of Parliament to stand up for human rights, health, harm reduction and #10by20

  • Global State of Harm Reduction

    Global State of Harm Reduction

    Our flagship publication is the biennial Global State of Harm Reduction report. First published in 2008, it involves a coordinated effort across practitioners, academics, advocates and activists to map global data and responses to HIV and hepatitis C epidemics related to unsafe injecting and non-injecting drug use. It is the only report to provide an independent analysis of the state of harm reduction in the world. The information collated within the report is stored and regularly updated on an interactive e-tool for researchers and advocates.

    The Global State of Harm Reduction report is supplemented by regular thematic reports and advisories on key issues and emerging challenges. Please search our Resource Library for more information or join our e-list for regular updates.

    Interactive e-tool

    Global State of Harm Reduction’ e-tool is an interactive resource containing up-to-date information on harm reduction policy and programming around the world. Users can select countries or regions and create tables for an at-a-glance guide to the current state of harm reduction worldwide.

  • News

    News and Announcements

    Read the latest announcements and updates from HRI.

  • About

    About HRI

    HRI is a leading non-governmental organisation working to reduce the negative health, social and human rights impacts of drug use and drug policy by promoting evidence-based public health policies and practices, and human rights based approaches to drugs. Read more about HRI’s history.

    Vision and Mission

    Our vision is a world in which individuals and communities benefit from drug laws, policies and practices that promote health, dignity and human rights.


    Meet our staff at HRI


    HRI is governed by a nine person Board of Directors, elected for three-year terms.

    What is harm reduction?

    Harm reduction refers to policies, programmes and practices that aim to reduce the harms associated with the use of psychoactive drugs in people unable or unwilling to stop. The defining features are the focus on the prevention of harm, rather than on the prevention of drug use itself, and the focus on people who continue to use drugs.

    Harm reduction definition and principles in 12 languages

    Contact Us

    Please feel free to contact us if you have any questions or queries about our website, our work, membership or the international harm reduction conference.


    HRI benefits from the generous support of the Open Society Foundations, the European Commission, the Elton John AIDS Foundation, the MAC AIDS Fund, UNAIDS, the World Health Organization, the UN Office on Drugs and Crime, the World Bank, The Robert Carr Networks Fund and the Swiss Government.

    Harm Reduction International Awards

    HRI presents a number of awards at outr international conference to acknowledge the contributions of outstanding groups or individuals in the field.

    Strategic Plan

    An international environment supportive of harm reduction scale up

  • Our Work

    Evidence for advocacy

    HRI produces groundbreaking research and policy analysis informing advocacy across our sector.

    Spending where it matters

    Funding for harm reduction services is dangerously short while billions are wasted on drug enforcement. HRI works to assess resourcing needs and advocates for a reinvestment in health.

    Human rights-based policy

    Human rights abuses and drug enforcement go hand in hand. HRI challenges laws, policies and practices that generate harm.

    The Death Penalty for Drug Offences: Global Overview 2015

    The Extreme Fringe of Global Drug Policy - In this new fourth edition of HRI's 'Global Overview' series, HRI updates our previous research on the death penalty for drugs in law and practice worldwide, and also considers critical developments on the issue.

    Sector strengthening

    HRI builds advocacy coalitions and supports emerging harm reduction networks to strengthen the international harm reduction sector.

    International conference

    Harm reduction is a global movement. Our biennial gathering is the International Harm Reduction Conference, convened by HRI.

  • Resource Library

    Resource Library

    Use our extensive resource library to search for HRI, NGO and academic reports, articles and presentations, including materials from past international conferences.

    Harm Reduction Journal

    Harm Reduction Journal,, is an open access, peer-reviewed, online journal whose focus is on the prevalent patterns of psychoactive drug use, the public policies meant to control them, and the search for effective methods of reducing the adverse medical, public health, and social consequences associated with both drugs and drug policies.

  • Support Us


    HRI relies on trusts, grants and donations to continue our work. To make a donation or pay membership fees, please use our secure payment page.

    Or why not fundraise for us with ‘Discover Adventure’?

    Contact Us

    Harm Reduction International
    Unit 2C09 Southbank Technopark
    90 London Road
    SE1 6LN  

    Tel: +44(0) 207 717 1592
    Fax: +44 (0) 207 922 8822
    Join us on facebook at: Harm Reduction International
    Or join us on Twitter at: HRInews


    Sign up to receive email updates, report launches, harm reduction advisories and information about the forthcoming international harm reduction conference

10by20 Campaign

Why we need action?
Harm reduction is an evidence-based and cost-effective approach to drug policy and practice that is about keeping people who use drugs, their families and communities safe and healthy. Harm reduction is about saving lives and it works! Yet many countries still do not provide harm reduction services and global funding for it amounts to just $160 million – only 7 per cent of what is needed.  By contrast, each year governments spend over $100 billion waging an ineffective war on drugs. 

Why now?
2016 is a watershed year for drug policy reform and furthering health and human rights approaches for people who use drugs. The first UN General Assembly Special Session (UNGASS) on drugs in 20 years will take place. At the last UNGASS in 1998, global leaders pledged ‘a drug free world’. Seventeen years later targets such as this have driven an international war on drugs, fuelled human rights violations and furthered HIV and HCV epidemics. The upcoming UNGASS gives us once in a generation opportunity to call on governments to stand up for harm reduction, health and human rights of its citizens instead of punishing them.

What are we calling for?
We are calling on governments:

  • To redirect 10 per cent of the resources that they currently spend on the ineffective punitive responses to drugs to harm reduction.
  • To achieve this by investing in health, sustainable development and human rights by 2020.

What we can achieve if we take action?
With funding equivalent to just 10 cents for every dollar spent on enforcement we could:

  • Cover annual HIV and hepatitis C prevention need for people who inject drugs. Globally. Twice over.
  • Pay for enough naloxone to save thousands upon thousands of lives every year from opiate overdose.
  • Ensure that we can respond to new challenges with effective advice, healthcare and emergency responses.
  • Strengthen networks of people who use drugs to provide peer services and campaign for their rights.

What will happen if we don’t act now?
If the adoption of harm reduction in new countries continues at the current pace, it will be 2026 before every country in need has even one or two harm reduction programmes operating (like opioid substitution therapy or needle and syringe exchange programmes) or has endorsed harm reduction within national policy. In the meantime we will lose thousands if not millions of lives.

Learn more about #10by20

10by20 5 Reasons

#10by20 Q&A

Download a PDF of the 10 by 20 Booklet

10 by 20 Booklet